Salem-Keizer Pickleball 2026

Membership Sign-up/Renewal Form

Yes, I want to become a member of the Salem-Keizer Pickleball Club.

Name: __________________________________________________________________

Address: ________________________________________________________________

City/State/Zip: __________________________________________________________

Phone: ____________________________________________________________

Email: ___________________________________________________________________

Birthday (MM/DD): ______________________________________________(optional)

I hereby pledge to abide by all rules and regulations set forth by the Salem-Keizer Pickleball.

I hereby release and discharge the Salem-Keizer Pickleball and their officers from any and all actions, causes of action, claims and demands for, upon, or by reason of any damage, loss, personal injury or death which may result from or in connection with my participation of any nature in any of the Salem-Keizer Pickleball activities, including COVID-19. I understand that this release is binding upon me, my assigns, my personal representatives and heirs.

Signature:______________________________________________________ Date:________________

Amount Paid _________ Date Paid__________

Choose one: Check____ Zelle______Cash_______

Zelle: Ann Hanson 253-579-6058

Bring checks and completed forms to the PACC. Make checks payable to SKPC.

VISION STATEMENT: Promote the game of pickleball within the Salem-Keizer community.

MISSION STATEMENT: As a non-profit, volunteer-based organization, we will foster the growth of pickleball within the Salem-Keizer community. We will connect with individuals, groups, organizations, and local governments to develop fun and competitive opportunities for players of all ages.

Salem-Keizer Pickleball Club is a harassment-free, discrimination-free, and bullying-free zone at all times. Any player who cannot meet these expectations will be asked to leave.

Since we are a volunteer-based club, all members are expected to help set up and take town nets and equipment as needed at the beginning and end of our daily play.